Breast Cancer, Lymphedema, Neuropathic Pain, Neuropathy, Persistent Pain
Conditions
Brief summary
The study is a prospective cohort study following breast cancer patients from before surgery to one year after. The aims of the study are to determine risk factors that predispose to the development of persistent pain.
Detailed description
The aim of the study is 1) to determine pre-, intra and post surgical risk factors for persistent pain after breast cancer treatment 2) to examine the prevalence of persistent pain 6 and 12 months after surgery 3) provide a quantitative sensory testing (QST) profile of the patient population, measured pre surgery, 1 week and 12 months after surgery.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed with breast cancer * 18 years or older
Exclusion criteria
* unable to give written consent * unable to understand Danish * Previous cosmetic surgery in the breast * Previous surgery in ipsilateral breast * Bilateral cancer * Concomitant corrective surgery on contralateral side * Pregnant * Other disease or injury in the nervous system * Psychiatric disease * Alcohol or drug abuse
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Risk factors predisposing for persistent pain after breast cancer treatment | 12 months postoperative | Pre-, intra- and postoperative risk factors predisposing for persistent pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acute pain after surgery for breast cancer | 1 week postoperative | Prevalence of acute pain 1 week after surgery for breast cancer. |
| Test-Retest of QST after breast cancer treatment | 12 months postoperative | A test-retest series of a subgroup of patients assessed with QST, to evaluate methodological reliability. Patients are scheduled to 2 QST assessments with a week between. |
| Prevalence of persistent pain after breast cancer treatment | 12 months postoperative | — |
| QST profile 1 week after surgery for breast cancer | 1 week postoperative | Detailed QST profile 1 week after surgery for breast cancer. Patients will be assessed with sensory mapping, followed by assessment of mechanical and thermal thresholds. |
| Correlation of persistent pain after breast cancer treatment and damage of the intercostobrachial nerve | 12 months | — |
| Quantitative sensory testing: profile and correlation to persistent pain, sensory disturbances, signs of neuropathic pain, and treatment related factors | 12 months | — |
| Genetic markers and the development of persistent pain after breast cancer treatment | 12 months postoperative | — |
| Prevalence of sensory disturbances after breast cancer treatment | 12 months | — |
Countries
Denmark